| NPI | 1386058477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: NJ 43za00598100) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: PA ym014181) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |